Where clinicalmeets financial.
Healthcare keeps two records of the same event. The clinical record says the care happened. The financial record says who pays for it. When they do not meet, revenue that was earned never arrives. Integrex Health connects them.
The clinical record of an encounter and the financial record of the same account are matched, the account moves from self-pay to insured, and the funding type is identified.
The company
Reimbursement intelligence, in one transaction
Integrex Health is a reimbursement data company. It locates a patient's active insurance coverage from a name and a date of birth, across commercial, government and Blue plans, identifies who funds each plan, and returns the claim detail that lets an account be worked without a call.
Four products carry that answer through one transaction: All Payer Insurance Discovery, Enhanced Eligibility Verification, Prior Authorization, and Claim Status and Resolution. Clearinghouses, billing and revenue cycle firms, diagnostics labs and technology platforms use them inside their own operations, and hospitals are reached through the partners they already work with.
Formerly Integrex RCM. Offices in Atlanta, Georgia and Cary, North Carolina.
Payers
Why the plans share more with us
Every coverage question answered with data is a call a payer's service center does not take. That is why payers share more detail with us than a standard transaction carries, and why those relationships are part of the product.
The Blue plans, 61 separately run state plans plus the Federal Employee Program, are the hardest part of that work, and the relationships are why Integrex Health can locate active Blue coverage without a member ID.
Security and compliance
Integrex Health maintains SOC 2 and monitors its controls continuously.
Data handling is documented and available for review during diligence. We do not take patient data by email. A secure transfer is set up after the first conversation.
How we work
There is no platform to buy. Integration is a batch file or an API call, and you see results from your own data before anything larger is agreed. The first conversation is a conversation, not a demo.
Bring us the accounts where the two records never met.
Send a sample file and we will return what the financial record was missing.
Schedule a conversation